Organization · Type 2 NPI
Gilligan Nutrition Counseling LLC
Health Service Clinic/Center · St. Louis, MO
NPI number
1366089443
Active
Practice location
10104 Conway Rd
St. Louis, MO 63124-1240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
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About NPI 1366089443
Gilligan Nutrition Counseling LLC's National Provider Identifier is 1366089443, issued on Dec 8, 2019. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in St. Louis, MO. The record was last updated on Dec 8, 2019.